Türk toplumunda periodontal hastalk, erken doum ve rahim içi gelişim gerilii arasndaki iliki

Relationship between periodontal disease, preterm birth and intra-uterine growth restriction in postpartum women in Turkish population

Özet

Amaç: Bu çalmann amac, erken doum (ED) ve rahim içi geliim gerilii (RGG) ile periodontal hastalk, arasndaki ilikiyi deerlendirmektedir. Gereç ve Yöntemler: Aratrma, yalar 18-34 arasnda deien 64 ND, 45 ED ve 47 RGG ile doum yapan toplam 156 birey üzerinde yü- rütüldü. Bireylerin demografik bulgular, hamilelik dönemi ile ilgili özellikleri ve klinik periodontal parametreleri kaydedildi. Bulgular: RGG grubunun ya ortalamas ND ve ED gruplarndan daha yüksek düzeydeydi (P<0.05). Hamilelik döneminde düzenli kontrollere gelmeyenler ve daha önce düük doum arlkl doum yapanlarn oran ND grubunda dier gruplara göre daha düükken, periodontal olarak salkl olanlarn ve hamilelik süresinde antibiyotik kullananlarn oran daha yüksek düzeyde tespit edildi (P<0.05). ED ve RGG gruplarna ait sondlama cep derinlii (SCD) ve klinik ataman kayb (KAK) ortalamalar, NDye göre daha yüksek düzeyde saptand (P<0.05). Sonuç: Anneye ait periodontal hastalk istenmeyen hamilelik sonuçlar için bir risk faktörü olabilir. Anahtar Kelimeler:

Abstract

Background: The aim of this study was to evaluate the relations between periodontal disease, preterm birth (PB) and intra-uterine growth restriction (IUGR) in non-smoking postpartum woman. Methods: Out of 156 subjects, 64 subjects with normal birth (NB), 45 subjects with PB and 47 subjects with IUGR ranging in age from 18 to 34 years were included in this study. The features related with their pregnancy period, demographic characteristics and clinical periodontal parameters of this population were evaluated. Results: The mean value of the age in IUGR group was higher than in NB and PB groups (P<0.05). The number of subject who did not pay regular prenatal visits and who had previous delivery with low birth weight in NB group was lower than in the other groups (P<0.05). The ratio of subjects with healthy periodontal tissues and the ones who recieved antibiotics during pregnancy in NB group were higher than than in other groups (P<0.05). The mean values of probing depth (PD) and clinical attachment loss (CAL) in PB and IUGR groups were higher than in NB group (P<0.05). Conclusions: Maternal periodontal disease may be a risk factor for an adverse pregnancy outcome.